Center For Developing Minds Medical Corporation in Los Gatos - Developmental - Behavioral Pediatrics
Center For Developing Minds Medical Corporation - NPI 1083748248
Center For Developing Minds Medical Corporation is a Developmental - Behavioral Pediatrics in Los Gatos, California. Center For Developing Minds Medical Corporation practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Center For Developing Minds Medical Corporation is 1083748248. The last update date is 2020-08-22.
Center For Developing Minds Medical Corporation's current location address is 22990 Schulties Rd, Los Gatos, California. You can contact this provider via phone number 4083581853. The mailing address for Center For Developing Minds Medical Corporation is 22990 Schulties Rd, Los Gatos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Developing Minds Medical Corporation |
|---|---|
| Address | 22990 Schulties Rd, Los Gatos, California |
| Phone Number | 4083581853 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Korb Russell Damon |
| Credentials | M.D. |
| Telephone Number | 4083581853 |
NPI Number Detail
| NPI Number | 1083748248 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 22990 Schulties Rd |
|---|---|
| City | Los Gatos |
| State | California (CA) |
| Post Code | 950338703 |
| Phone Number | 4083581853 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | A62686 |
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Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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What is the unique provider identifier assigned to Center For Developing Minds Medical Corporation?
The Center For Developing Minds Medical Corporation has been issued the NPI (National Provider Identifier) 1083748248 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Center For Developing Minds Medical Corporation is geographically located?
The Center For Developing Minds Medical Corporation is physically situated at the following location: 22990 Schulties Rd, Los Gatos, CA, 950338703.
What is the Center For Developing Minds Medical Corporation's specialty and taxonomy code?
The Center For Developing Minds Medical Corporation's specialty is Developmental - Behavioral Pediatrics, and the corresponding taxonomy code is 2080P0006X.
When was the Center For Developing Minds Medical Corporation's 1083748248 issued?
The Center For Developing Minds Medical Corporation's 1083748248 was issued on 2007-03-16.
When was the Center For Developing Minds Medical Corporation's information last updated?
The Center For Developing Minds Medical Corporation's information was last updated on 2020-08-22.
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